Abstract

VALENCIA, Carlos; TORREGROSA, Lilian  and  MORENO, Atilio. Paradigm change in the management operative and nonoperative management of hepatic trauma, key strategies for emergency in the year. rev. colomb. cir. [online]. 2013, vol.28, n.1, pp.64-72. ISSN 2011-7582.

The experience with the management of hepatic trauma acquired during World War II, as well as a better understanding of the mechanisms and degrees of severity of liver injury, has resulted in a marked decrease in mortality associated with this type of lesions. There has been not only a radical change in the approach that has varied from indispensable surgery to non-operative management, even for severe and complex injuries, and the implementation of novel nonsurgical strategies, standing out damage control, radiological embolization, and surgical packing. This review considers the current consensus on the most appropriate diagnostic and therapeutic strategies for the management of these frequent lesions.

Keywords : liver; wounds and injuries; abdominal injuries; laparotomy; surgical procedures; operative; therapeutics.

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